STEPHANIE LARGE NP
NPI 1164855078
Nurse Practitioner in Fort Worth, TX

Q: What is Stephanie Large's NPI number?

The NPI number for Stephanie Large is 1164855078. It was assigned to this individual provider in the NPPES registry on August 14, 2013.

Q: What is Stephanie Large's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Large was last updated on November 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 14, 2013

855 MONTGOMERY ST, FORT WORTH, TX 76107(817) 735-2660 Get Directions Write a Review

NPPES record last updated: November 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Stephanie Large Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE LARGE NP (NPI 1164855078) is an individual nurse practitioner in Fort Worth, Texas, licensed in Texas (836232) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1164855078

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSTEPHANIE LARGECredential: NP

Location Address855 MONTGOMERY STFort Worth, TX 76107-2553

Mailing Address855 Montgomery StFort Worth, TX 76107-2553 · (817) 735-5058

Phone(817) 735-2660

Sole ProprietorNo

Enumeration DateAugust 14, 2013

Last NPPES UpdateNovember 10, 2017

✔ NPI 1164855078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TX · 836232

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

855 MONTGOMERY ST, Fort Worth, TX 76107

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Other Identifiers 6

Medicaid325708103TX

Other8025NDTX · Bcbs

Medicare PIN317126YPF6TX

Other8364NJTX · Bcbs

Medicaid325708101TX

Medicare PIN317126YS0QTX

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER OF FORT WORTH

Pathology (Clinical Pathology/Laboratory Medicine)